All citations for Devonshire Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Devonshire Care Center

Last standard health inspection on record

April 14, 2025

Showing 1 to 23 of 23 citations

  1. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  2. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of April 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  3. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  4. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 14, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  5. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of April 14, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  6. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of April 14, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  7. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  8. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  10. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 16, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2026).

  11. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 16, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2026).

  12. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 8, 2026).

  13. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of January 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 2, 2026).

  14. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  15. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  17. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  18. No harm, with potential for more than minimal harm

    Assist a resident in gaining access to vision and hearing services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  19. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  20. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  21. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  23. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0921, Environmental Deficiencies. Inspection of April 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.